NPI 1831468651

Crump Enterprises

Organisation Point of Service Boise, ID

Practice location

Address: 11311 W Chinden Blvd, Boise, ID 83714-1021
Phone: (208) 908-4430

Authorised official

Name: Kimberly Dawn Smith
Title: Manager
Phone: (208) 376-7413

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence D4161 (ID)

Other Point of Service providers in Idaho →

Registry record

NPI: 1831468651
Entity type: Organization
NPI issued: 22 Dec 2011
Record last updated: 22 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.